scholarly journals Current Status of Internship Training in Nepal

2019 ◽  
Vol 7 (1) ◽  
pp. 66-69
Author(s):  
Santosh Shah ◽  
Anand Kumar ◽  
Kailash Chandra

This is a perspective article about the status of undergraduate medical internship training in Nepal based on the learned experience and reflections on current practices on medical education in Nepal. The medical education in Nepal is facing myriad challenges. In order to keep up with the current demands and advances in medical education, adaptation and changes in current curriculum and its modalities are crucial. Current medical curriculum, specifically needs to focus on promoting communication skills, community based learning and medical ethics which may help to garner skills and motivate students for innovations and research in the field.

2019 ◽  
Vol 6 ◽  
pp. 238212051988684
Author(s):  
Anthonio Adefuye ◽  
Matthew Benedict ◽  
Johan Bezuidenhout ◽  
Jamiu O Busari

Background: The adoption of community-based medical education (CoBME) into the undergraduate medical curriculum is in line with the SPICE model for medical curriculum proposed by Harden and colleagues. Students are the consumers of medical education and are, thus, the ideal evaluators of the efficacy of their own course and learning environment. To evaluate the quality of the CoBME programme in Botshabelo District Hospital (BDH), this study investigated student’s perceptions of their experience during their CoBME training at BDH. In addition, suggestions on how to enrich students’ experience during the CoBME posting were obtained from the participants. Methods: This research was designed as a qualitative (ethnographic) study that used a structured questionnaire, to obtain written statements from 120 fourth-year undergraduate medical students describing their experience during their CoBME training at BDH. The structured questionnaire in the form of an evaluation form was self-administered, consisted of only open-ended questions grouped into 4 main sections and was distributed manually (hard copy) to the participants. Results: Of the 120 questionnaires distributed, 84 were returned, giving a response rate of 70.0%. When asked to indicate what they liked or disliked about their CoBME training, ‘Good educators/staff’ and the ‘Poor attitude of some doctors’ were the themes that scored highly (25.1% and 19.4%) in the ‘likes’ and ‘dislikes’ category, respectively. Some of the major challenges faced during the CoBME training at BDH included: exposure to new learning environment (14.2%), clinical practice context (12.6%), and language barrier (7.2%). Participants stated that they gained knowledge of how to perform certain clinical procedures and acquired core clinical skills in the areas of formulating management and managing some medical emergencies during their training at BDH. Increasing the duration of training (25.6% coverage) was suggested as a major way to enrich students’ experience during the training at BDH. Conclusion: Findings by this study reveal that CoBME is a valuable pedagogical tool to enhance learning in undergraduate medical education and that more work is required to improve the quality of CoBME training in BDH. We believe that the findings by this study will inform future planning of CoBME training programmes in BDH.


1989 ◽  
Vol 28 (04) ◽  
pp. 323-326
Author(s):  
D. Protti

Abstract:Many have suggested that information technology in its various forms will continue to have an effect on all aspects of medicine, including medical education. If so, the introduction of information technology into medicine brings with it critical educational policy questions. This paper reports on the findings of an inquiry into the impact of information technology on medical education. It reviews the extent to which Canadian and American medical colleges have adopted the 1985 recommendations of the American Association of Medical Colleges. In particular, it looks at the recommendations that “medical informatics should become an integral part of the medical curriculum” and that “the teaching of medical informatics should include opportunities for specific instruction in its fundamentals as well as adequate examples of its application throughout the medical curriculum".


2014 ◽  
Vol 3 (1) ◽  
pp. 8-11
Author(s):  
Abu Syed Md Mosaddek ◽  
Waheeda Nargis ◽  
Borhan Uddin Ahamed ◽  
Md Zakirul Islam ◽  
Habib S Chaudhury ◽  
...  

This study was carried out to get an idea about the views of medical educators and intern doctors regarding the current undergraduate medical curriculum. A partially descriptive open ended questionnaire was distributed among teachers of all three phases and intern doctors in undergraduate curriculum in different public and private medical colleges in Bangladesh and was returned by 120 teachers and 663 intern doctors. Qualitative analysis of data was done. Among teachers 70% agreed to need for changes, 68.4% were in favor of present internship training system and 85% were against ‘carry on’ system. But 94% and 51% of intern doctors were in favor of need changes of curriculum and present internship training respectively. 91% were against ‘carry on’ system. DOI: http://dx.doi.org/10.3329/bjme.v3i1.18589 Bangladesh Journal of Medical Education Vol.3(1) 2012: 8-11


Oryx ◽  
2016 ◽  
Vol 51 (3) ◽  
pp. 542-553 ◽  
Author(s):  
Frances Humber ◽  
Brendan J. Godley ◽  
Tanguy Nicolas ◽  
Olivier Raynaud ◽  
Florence Pichon ◽  
...  

AbstractMadagascar is an important foraging ground for marine turtles in the Western Indian Ocean, yet the status of the country's nesting aggregations remains poorly documented. We assess the current status and trend in nesting throughout Madagascar, including data recorded by a community-based monitoring project in the Barren Isles (western Madagascar). We contextualize the findings in comparison with data from Madagascar's closest neighbouring states. Reports indicate that nesting levels have declined at many coastal sites, with no known recordings since 2000 at > 40 nesting sites. We estimate there are a minimum of 1,200 nests per year in Madagascar, with the largest recorded nesting aggregation (< 1,000 nests per year) found on islands off the west and northern coasts. The majority of nesting aggregations, including those recorded by the community-based monitoring project in the Barren Isles, are relatively small, in the order of < 50 nests per year, yet they are potentially important sources of regional genetic diversity. Nesting on many of the islands (e.g. Tromelin, Europa) around Madagascar has increased over the last 20 years, despite the fact that thousands of turtles probably originating from these sites are taken by fishers in the waters of Madagascar annually. We discuss the importance of protecting small nesting populations, and how community-based monitoring could be an important tool for conserving remote and vulnerable populations and building capacity for natural resource management.


2021 ◽  
Vol 28 (12) ◽  
pp. 1857-1861
Author(s):  
Zahid Kamal ◽  
Muhammad Mohsin Ali ◽  
Manaqibb Zain Ali ◽  
Muhammad Naeem Rustam ◽  
Saeed Zafar Khan

Objective: To determine impact of community based Medical Education on learning of undergraduate medical students. Study Design: Non-comparative, Prospective study. Setting: Irfania Ophthalmic Medical Camp, Lahore. Period: July 2019. Material & Methods: 70 students participated in a 4 hour interactive session, where they took a focused history, performed relevant clinical examination, and counseled patients regarding their disease. At the end, feedback was collected using a pre-tested questionnaire. Data obtained was analyzed using SPSS version 23, with mean ± SD determined for continuous variables and frequency with percentage for categorical variables. Results: Majority of the participants were female fourth year medical students. 97.1% found the camp system more efficient for learning, while 94.3% thought it should be included in future ophthalmic curricula. 81.5% of the participants were of the opinion that the camp had had a positive impact on their communication skills regarding taking focused history and counseling patients. Conclusion: In a country like Pakistan with a high burden of ophthalmic diseases and a developing medical curriculum, medical camps are essential for training and skill learning for undergraduate medical students, and should be included in the medical curriculum.


Author(s):  
Taren Roughead ◽  
Hira Gill ◽  
Krista Dewar ◽  
Naomi Kasteel ◽  
Kimberly Hamilton

AbstractMedical educators are recognizing that social accountability is a tenet of Canadian medical education, yet it is a difficult concept to teach didactically. Accumulating evidence supports the integration of social accountability into the medical curriculum through community involvement. Fortunately, the University of British Columbia Faculty of Medicine enables students to pursue community learning as part of its curriculum; and we, five medical students, benefited from that opportunity. This commentary will promote the importance of teaching social accountability in medical schools through community-based learning based on available literature and our personal experience with Vancouver’s Downtown Eastside (DTES). RésuméLes professeurs de médecine reconnaissent que la responsabilité sociale est un pilier de l’éducation médicale canadienne; néan- moins, c’est un concept difficile à enseigner didactiquement. De plus en plus de preuves appuient l’intégration de la responsabilité sociale au curriculum médical à travers l’engagement communautaire. Heureusement, la Faculté de Médecine de l’Université de la Colombie-Britannique permet aux étudiants de participer à l’apprentissage par engagement communautaire en tant que composante du curriculum; nous, cinq étudiants en médecine, avons pu profiter de cette opportunité. Ce commentaire va promouvoir l’importance d’enseigner la responsabilité sociale dans les écoles de médecine par l’intermédiaire de l’apprentissage par engagement communau- taire, basé sur la littérature disponible et notre expérience personnelle avec le quartier de Downtown Eastside de Vancouver (DTES). 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bayapa Reddy Narapureddy ◽  
Shakeer Kahn Patan ◽  
C. Sravana Deepthi ◽  
Sirshendu Chaudhuri ◽  
K. R. John ◽  
...  

Abstract Background Intra-regional cultural and linguistic differences are common in low- and middle-income countries. To sensitise undergraduate medical students to the social and contextual determinants of health to achieve the ‘health for all’ goal, these countries must focus on innovative teaching methods. The early introduction of a Community Orientation Program (COP) as a Community-based Medical Education (CBME) method could be a game changing strategy. In this paper the methods, evaluation, and implication of the COP in an Indian setting are described. Methods The curriculum of the COP was developed based on the analysis, design, development, implementation, and evaluation (ADDIE) model for educational intervention. In this learner-centric and supervised educational program, the key aim was to focus on developing students’ communication skills, observation power and enhancing their motivation for learning through collaborative learning. To meet the objectives of the COP, a situated learning model under the constructivism theory was adopted. Results Between 2016 and 2019, 557 students were trained through the COP by visiting more than 1300 households in ten villages. To supplement the students’ observations in the community, more than 150 small group discussions, a health education programme for the community and summary presentations were conducted. The students’ feedback indicated the need to improve the clinical examinations demonstration quality and increase the number of instruments for clinical examinations. More than 80% of students felt that the program would assist them to improve their communication skills, their understanding of the various socio-demographic factors associated with the common diseases, and it will enable them to respect the local culture during their clinical practice. Conclusions Early initiation of the COP as a CBME method in the undergraduate medical curriculum in an Indian setting has shown promising results. Further evidence is required to adopt such a program routinely for under-graduate medical teaching in the low- and middle- income settings.


2021 ◽  
Vol 35 (2) ◽  
pp. 381-389
Author(s):  
Imanaly AKBAR ◽  
◽  
Zabira Kazbekkyzy MYRZALIYEVA ◽  
Akmaral Zhaksybekkyzy TAZHEKOVA ◽  
Altynbay Tagabaiuly SAULEMBAYEV ◽  
...  

Many stakeholders believe that developing community-based ecotourism (CBET) in vulnerable nature reserves is an effective method of ensuring greater conservation of natural and cultural resources, empowering host communities, and improving their socio-economic well-being. This paper assesses the current status of the CBET development in the Aksu-Jabagly nature reserve (NR), located in the south part of Kazakhstan. In order to understand ecotourism development status, 222 representative households from two neighboring communities of Aksu-Jabagly NR were surveyed with 5-point Likert scale questions. At the same time, two tourism relevant experts were interviewed. The results of examining the three indicators (community tourism relevance, community participation rank, and community empowerment), showed that the neighboring community relevance with the tourism in AksuJabagly NR was low, the community residents' participation rank in tourism was also at the lower level, and the community’s empowerment status is not ideal. As a result, we initially asserted that the status of CBET development in Aksu-Jabagly NR is not well, in particular, the positive economic and social impact of tourism development is not so obvious.


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